Head of Engineering

About Us
At Sully.ai, We’re Building the Most Impactful Healthcare Company on Earth

We believe that access to a great doctor is a basic human right. Today, that’s not a reality. Delays, misdiagnoses, administrative chaos, and burnout plague the system.

Our Mission
One Human, One Doctor.
We enable our customers to staff 30% of their workforce with AI by creating a shared agent architecture for scale and efficiency. All powered by our own patented, world-class models and deployed in real-world care.

About the Role

Sully automates clinical documentation at the point of care. Real-time ambient listening, structured medical notes, and agentic AI workflows that live inside the EHR. We're live in 270+ clinics, have processed 2M+ real physician-patient encounters, and run on custom medical models that outperform GPT, Claude and Gemini on clinical benchmarks. We're not a wrapper company.

We're hiring multiple hands on Heads of Engineering to own core product domains: Consultant, Integrations, Mobile, and Platform.
Each role has full technical and execution ownership: architecture, roadmap, delivery, and reliability, for its surface area.

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What You'll Own

• End-to-end engineering execution: architecture, roadmap, delivery, reliability
• Drive function performance improvements: targeting 50%+ latency cuts across AI inference workflows
• Observability, alerting, and model-selection systems that give you real signal at scale
• The execution cadence your team needs to stay unblocked: OKRs, standups, backlog ownership, cross-functional alignment
• Quality pipelines: for accuracy, completeness, and reliability of every AI output
• Engineering bar across the stack: code quality, reviews, on-call, operational rigor

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What We're Looking For

• You've grown an engineering org: 10+ direct reports, real headcount growth, real process ownership with a passion for staying hands on and close to the code because you love it.
• You've built production AI/ML systems: agentic pipelines, LLM inference, real-time NLP or speech. Generic RAG experience doesn't cut it here.
• You've done Seed to Series A+ at least once: You know what scaling eng from 5 to 30+ actually looks like.
• You still write code: Player-coach, not meetings-coach.
• Ambiguity is your operating system: Incomplete direction to clear technical plan, to shipped product. No hand-holding needed.
• Healthcare, clinical AI, or voice/speech AI background is a strong signal: Understanding why latency, reliability, and PHI compliance matter differently in this domain is a meaningful edge.

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First 90 Days

• Full ownership of your engineering domain, no ramp needed
• End-to-end observability and alerting for core workflows
• Define your domain's key performance, reliability, and quality metrics
• Ship at least one high-impact improvement
• Establish the execution cadence and quality bar your team runs on

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Why Sully

• Real Product Market Fit: 270+ clinics live, 2M+ encounters processed, physicians choosing to use it every day
• Custom medical models: we build our own and they win on clinical benchmarks
• You're replacing a genuinely painful workflow (manual documentation = physician burnout), not adding an AI feature
• Small team, direct ownership, full stack responsibility: not a feature team at a big company
• Series A with real revenue and real customers, scaling fast

Why Join Sully.ai?
🔥 Revolutionizing the antiquated $800B+ Healthcare market

🧠 60%+ Ex-founders who have built, scaled, exited. We hire A-players

⚡️ Speed matters: we operate with urgency, autonomy, and ownership

🧪 You’ll work on real, first-of-their-kind problems at the edge of AI and medicine

❤️ Your work directly unlocks doctors to reclaim their time, and patients get better, faster care

Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age. Sully.ai prohibits any form of workplace harassment. 

Compensation (from employer):
Estimated Base Salary $250K – $350K